MARK ALAN DE-PEW - Pharmacist License in Illinois | # 049060200

MARK ALAN DE-PEW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060200

License Status

NOT RENEWED

Business

N

First Name

MARK ALAN

Last Name

DE-PEW

Business Name

MARK ALAN DE-PEW

Original Issue Date

09/07/1973

Effective Date

09/07/1973

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005